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California rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.20 / $4,420.00 / $16,125.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$165.97 / $182.61 / $1,311.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.43 / $254.57 / $771.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.00 / $4,542.00 / $9,119.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.27 / $343.76 / $660.94
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,581.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.33 / $258.39 / $576.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $253.20 / $453.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.28 / $330.85 / $703.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.06 / $333.71 / $450.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.69 / $378.97 / $661.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,264.28 / $1,408.57
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$871.06 / $986.00 / $986.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.12 / $2,195.76 / $2,561.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.32 / $357.96 / $489.29
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$314.41 / $314.41 / $550.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.27 / $348.07 / $718.56
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.85 / $831.85 / $919.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.83 / $301.13 / $414.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.00 / $1,533.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.92 / $271.95 / $610.46